Conflict of Interest: None
The Stress and Migraine Interaction
Version of Record online: 8 JUL 2009
© 2009 the Authors. Journal compilation © 2009 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 49, Issue 9, pages 1378–1386, October 2009
How to Cite
Sauro, K. M. and Becker, W. J. (2009), The Stress and Migraine Interaction. Headache: The Journal of Head and Face Pain, 49: 1378–1386. doi: 10.1111/j.1526-4610.2009.01486.x
- Issue online: 29 SEP 2009
- Version of Record online: 8 JUL 2009
- Accepted for publication May 18, 2009.
- migraine stressor;
- migraine with aura;
- tension headache;
- migraine without aura
There are several ways in which stress may interact with migraine in those predisposed to migraine attacks. These interactions may result from biochemical changes related to the physiological stress response, as, for example, the release of corticotrophin releasing hormone, or from changes induced by the psychological response to stressors. Stress is the factor listed most often by migraine sufferers as a trigger for their attacks, but in addition there is evidence that stress can help initiate migraine in those predisposed to the disorder, and may also contribute to migraine chronification. Migraine attacks themselves can act as a stressor, thereby potentially leading to a vicious circle of increasing migraine frequency. Since the important factor in the stress–migraine interaction is likely the individual's responses to stressors, rather than the stressors themselves, the acquisition of effective stress management skills has the potential to reduce the impact of stressors on those with migraine.